Surgical management of bleeding stomal varices

Beck, David E., Fazio, Victor W. and Grundfest-Broniatowski, Sharon (1988) Surgical management of bleeding stomal varices. Diseases of the Colon and Rectum, 31 5: 343-346. doi:10.1007/BF02564880


Author Beck, David E.
Fazio, Victor W.
Grundfest-Broniatowski, Sharon
Title Surgical management of bleeding stomal varices
Journal name Diseases of the Colon and Rectum   Check publisher's open access policy
ISSN 0012-3706
1530-0358
Publication date 1988-05
Sub-type Article (original research)
DOI 10.1007/BF02564880
Volume 31
Issue 5
Start page 343
End page 346
Total pages 4
Place of publication New York, NY, United States
Publisher Lippincott Williams & Wilkins
Language eng
Abstract A retrospective chart review of nine patients with stomal varices and portal hypertension who required surgical management of bleeding varices from 1978 to 1986 was performed. The patient's mean age at stoma formation was 46 years (range, 36 to 70 years). Three were female, six were male, and all were Caucasian. Three patients had colostomies and six had ileostomies. Indications for creation of the ostomies included inflammatory bowel disease in six patients and carcinoma in three patients. The time from creation of the stoma to the first bleed was 11 to 196 months (mean, 82 months). The average time between this bleed and surgical treatment was six months. The operative procedures performed included nine mucocutaneous disconnections (MCD) in seven patients (one for recurrent bleeding) and two stoma relocations (one for recurrence). MCD is simple, quick, and associated with a lower morbidity and intraoperative blood loss than stomal relocation. Post-operative follow-up has ranged from 4 months to 4.6 years (mean, 2.5 years). During this period there were two episodes of recurrent varices that required surgery. In the select group of patients that cannot be managed conservatively, MCD is favored and relocation considered only if MCD is technically impossible.
Keyword Ostomy
Stomal varices
Portal hypertension
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 08:45:32 EST